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Morgan is still, I believe, fondly dwelling upon the possibility of adding me to his successful-tracheotomy statistics, but prognosis was always my strong point, and I say No. The very small consolation of my death will be the beating of a specialist in his own line. So we shall see. 'I have been arranging some of my affairs this morning, and remembered these notebooks.
His rejection of the supernatural alone stamps the greatness of his genius. But, besides this, he introduced more detailed observation of diseases, and demonstrated the importance that attaches to prognosis. Hippocrates was born at Cos, about 460 B.C., but spent most of his life at Larissa, in Thessaly.
In this case, without doubt, the subject originally suffered a sub-periosteal fracture of the bone and because the animal was a good self nurse, the brachial fascia supported the radius until the periosteum gave way and the leg dangled. In this instance infection took place and suppuration resulted. It was deemed advisable to destroy this animal. Prognosis.
There were local tales of his having exerted his powers of prognosis, or perhaps you would say diagnosis; and it was said that in every instance the person whose friends he had warned had died suddenly at the appointed time, and from no assignable cause. All this, however, has nothing to do with what I have to tell; I thought it might amuse a physician.
Hinckley, who had an admirable power of seeing the crux of a situation, was making a rather grave prognosis for us. "If we can't get rates which will let us into a broader territory, we may as well prepare for reverses," said he. "Foreign cement comes almost to our doors, in competition with ours. Wheat and live-stock go from within twenty miles to points five hundred miles away.
Prognosis is unfavorable in the majority of cases, but should attempts at treatment be undertaken in young and quiet mares which might prove valuable for breeding purposes in case of imperfect recovery, they should be put in slings and the member is to be immobilized as in tibial fracture.
He considers ringbone as articular, periarticular, rachitic and traumatic. A mode of classification that is common and in a practical way, good, is, high and low ringbone. When prognosis is considered, for instance, it is very convenient to state that the chances for recovery are much better in high ringbone than in low ringbone. The classification of Möller will be followed here. Symptomatology.
If the ulcerations, though formed, soon begin to heal, especially in rheumatism, the prognosis may be good, as far as the immediate future is concerned. If the process becomes septic, or if there is a serious septic reason for the endocarditis, the outlook is hopeless. This form of endocarditis is generally accompanied by a bacteremia, and the causative germs may be recovered from the blood.
On any difficulty occurring, it is owing to his advice not having been taken; he is the great political physician: his diagnosis from the beginning of the Revolution is always correct, his prognosis infallible, his therapeutics efficacious, humane and salutary.
Finally Kirby published a series of cases which showed decisively that this classification was too rigid. Since his paper is the foundation for this present study, it should be reviewed carefully. He first points out that Kraepelin’s “Dementia præcox” includes much more than it should with its inevitably bad prognosis.
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